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Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 40-year-old woman has not left her house for 6 months. She says that she is trying to avoid the intense anxiety, palpitations, tremors, sweating, dizziness, choking sensation, and breathlessness that develops when she leaves home. Which one of the following is the best next step?
A) Reassurance that this is not a serious disorder.
B) Prescription of chlorpromazine in moderate doses.
C) Hospitalization for observation.
D) Encouragement to take walks of increasing distance.
E) A trial of lithium carbonate.
2. A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?
A) Start lorazepam
B) Change the haloperidol to quetiapine
C) Provide reassurance
D) Arrange for an urgent laryngoscopy
E) Begin dantrolene
3. A 26-year-old man presents to your office with fever, chills, and malaise. Aside from an episode of dysuria 8 weeks ago, which spontaneously resolved, he has been healthy. On examination, his left wrist and right ankle are tender. There is a cluster of vesiculopustular lesions on his right hand. Which one of the following is the most likely diagnosis?
A) Primary HIV infection syndrome
B) Reactive arthritis
C) Rheumatoid arthritis
D) Varicella
E) Disseminated gonococcemia
4. A prepubertal 9-year-old girl with severe developmental disability is brought to your office by her parents.
They are seeing you to discuss some difficulties that might occur with puberty. They are afraid that menses will complicate hygiene care and they have heard of significant mood/behavioural changes in this population when menses occur. Which one of the following recommendations is the most appropriate?
A) Extended progestin-only method should not be initiated until after the onset of menses.
B) Therapeutic amenorrhea with continuous combined oral contraceptive is contraindicated.
C) Hormonal menstrual suppression is likely to increase behavioural and mood changes.
D) Girls with developmental disability generally have chronic hypothalamic amenorrhea.
E) Hysterectomy is the safest and most effective method to obtain menstrual suppression.
5. A 73-year-old woman is seen in the office 2 weeks after a coronary bypass surgical procedure. The site of saphenous vein removal in the left thigh shows an area of tenderness and a 3 × 5 cm palpable mass. The skin is intact. Her temperature is 37.7 °C, hemoglobin is 110 g/L (125-167), and white blood cell count is 8 × 10#
/L (4-10). Which one of the following is the most likely diagnosis?
A) Wound hematoma
B) Femoral artery aneurysm
C) Acute venous bleeding
D) Wound abscess
E) Thrombophlebitis
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: E | Question # 4 Answer: A | Question # 5 Answer: A |
By Nicole
